HomeMy WebLinkAbout 17030109 Application` SWEVIMING POOL / SPA CONSTRUCTION
For Commercial, Institutional, or Residential Projects
�xoixx> City of Carmel; Department of Community Services PERMIT #: .I CQ
BUILDER Of
RECORD:
NAME:
PHONE:
3 — "1 q -
FAX:
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REET ADDRESS:
CITY:
1 STATE: ZIP:
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
PROPERTY
OWNER
NAME:
a
PHONE:
FAX:
INFO:
STREET DRESS:
CITY:
STATE: ZIP:
Kot)ll wall
Co f
PROJECT
LOCATION
.e-kw.
ADDRESS OF CONSTRUCTION:
-
If
0' IM el
INFO:
PROJECT NAME: (If applicable)
�c t^
Tt
and SUBDMSION NAME: (If applicable)
LLti
ESTIMATED COST
OF CONSTRUCTION: �j3 � pp p
SQUARE FOOTAGE
Including deck area: 12� g
RE TYPE,
IF APPLICABLE:
SUMP PUMP: yy YES ❑ NO
(If YES —INDICATE RAINAGE ON SITE PLAN)
POOL COLD
�"%�
Q
U�
IS ANY PART OF PROPERTY WITHIN
SPECIAL FLOOD HAZARD AREA: ❑ YES e, NO
STATE COMMERCIAL
DESIGN RELEASE #
CLASS OF POOL p
IF COMMERCIAL: RF���'
SCOPE(S) OF
RELEASE:
,ram
POOL COVER: DYES ❑ NO
IF APPLICABLE:
...�—r'�'
r
AUTO FILTER: 99. YES ❑ NO
SEPTIC S�JT M:NO
POOL HEATED: @" YES ❑ NO
IF HEATED: ®
GAS ❑ ELECTRIC
DIVING B ❑YES NO
POOL BUILDERS WILL BE RESPONSIBLE FOR: Notification nl�' "it�$es"ec{I'ons are to, be Roa ouw)}l'reiapplicable. Pool builders shall coordinate with owners for the inspector' i e�1 r ars inspections are shedUnder the CsliOrdinance, Chapter. 29.0, Sec. 29.06.08: "Late Fees shall he ase 4including occupat u[ a C/O".
This permit is valid only if construction commences within 180 days of the date o - of this permit a must be co I�ye�
Certificate of Occupancy issued, within 18 months of the dale of issuance. Class I.Struc a Permits are su ect to the State of Inc
Administrative Rules (GAR 675 IAC 12)'regarding expiration time frames for. beginning and completing c action.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the u ;1712ilid"ors cturcs/
requested by this application will comply with and conform to all applicable laws of the State of Indiana and the "Zoning Ordinance of Carmel Indiana - IY3� 89) and
amendments, adopted under authority of I.C. 36-7 or seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen,
bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been
issued by the Department of Community Services, Carmel, Indiana.
I also certify; under the penalties of Perjury (Indiana Code 35-44-2-1) that all of the information I have provided in this A placation and other
documentation is true and accurate to the best of my knowledge and belief, and that I have not knowingly or intentionalfiI provided or omitted
any information that would tend to hide, obscure, or otherwise mislead the Dept. of Community Services regarding the truth of the matters
addressed. n R,
MiLL - POOLS- a1= F�ta Mn_ l�1ikek� Pnc�i aF' �LiNJ
s'gnatvre of ei ar Au:6orizrd Agent P to N - nets.
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INSPECTIONS REQUIRED:
Sa BONDING / GROUNDING
2nd BONDING / GROUNDING
FINAL- Bldg _ FINAL- FORESTRY
FINAL —Carmel Firepepartment
PERMIT FEE (Flat Rate + Sq. Ft. fee):
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INSPECTION FEES: �]C-+
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CERTIFICATE OF OCCUPANCY: `C ^/(o 'oo
T TAL:
i.L3/ar/ 7'
Received Date
1-7
Reviewed/Approved: Dept. of Community Services